His symptoms are replaced by indifference to his feelings
He participates in diversionary activities.
He learns to verbalize his feelings and concerns
He states that his behavior is irrational.
“I feel envious of mothers who have toddlers”
“I haven’t been able to open the door and go into my baby’s room “
“I watch other toddlers and think about their play activities and I cry.”
“I often find myself thinking of how I could have prevented the death.
Ineffective individual coping related to loss.
Impaired verbal communication related to inadequate social skills.
Low esteem related to failure in role performance
Impaired social interaction related to repressed anger.
Observe for confusion
Monitor respiratory status
Reorient to time, place and person
Document the client’s response to the treatment
Set realistic limits to the client’s behavior
Repeat verbal instructions as often as needed
Allow the client to get out feelings to relieve tension
Assign a staff to be with the client at all times to help maintain control
Agree on a consistent approach among the staff assigned to the client.
Suggest that the client take a leading role in the social activities
Provide the client with extra time for one on one sessions
Allow the client to negotiate the plan of care
Taking a directive role in verbalizing feelings
Using an authoritarian, confrontational approach
Putting the client in a seclusion room
Applying mechanical restraints
Recognize this as a drug interaction
Give the client Cogentin
Reassure the client that these are common side effects of lithium therapy
Hold the next dose and obtain an order for a stat serum lithium level
“I will refer you to a clergy who can help you understand what is happening to you.”
“ It isn’t fair that an innocent like you will suffer from AIDS.”
“That is a negative attitude.”
”It must really be frustrating for you. How can I best help you?”
Giving broad opening
Remove all potentially harmful items from the client’s room.
Allow the client to express feelings of hopelessness.
Note the client’s capabilities to increase self esteem.
Set a “no suicide” contract with the client.
Establishing relationship with the opposite sex and career planning.
Parental and societal responsibilities.
Establishing ones sense of competence in school
Developing initial commitments and collaboration in work
A therapy that rewards adaptive behavior
A cognitive approach to change behavior
A living, learning or working environment.
A permissive and congenial environment
Encourage verbalization of concerns instead of demonstrating them through the body
Divert attention to ward activities
Place in semi-fowlers position and render O2 inhalation as ordered
Help her recognize that her physical condition has an emotional component
“You are much better than when you were admitted so there’s no reason to worry.”
“What would you like to do now that you’re about to go home?”
“You seem to have concerns about going home.”
“Aren’t you glad that you’re going home soon?”
Knowledge about sexuality.
Experience in dealing with clients with sexual problems
Comfort with one’s sexuality
Ability to communicate effectively
It is the sexual pleasure derived from inanimate objects.
It is the pleasure derived from being humiliated and made to suffer
It is the pleasure of shocking the victim with exposure of the genitalia
It is the desire to live or involve in reactions of the opposite sex
Sexual Desire Disorder
Sexual Arousal Disorder
Sexual Pain disorder
“You’re attractive but I’m not interested.”
“You wouldn’t be the first that I will see naked.”
“I will report you to the guard if you don’t control yourself.”
“I only need access to your arm. Putting up your sleeve is fine.”